National Dental Examining Board of Canada (NDEB) Practice Exam 2026 - Free NDEB Practice Questions and Study Guide

The primary consideration in the management of a patient with multiple deep abfraction lesions is occlusal adjustment. This involves altering the patient's bite to reduce excessive forces on certain teeth, which can contribute to the development of abfraction lesions. Immediate restoration (choice A) may be necessary for severe cases, but it does not address the underlying cause of the lesions. Topical fluoride application (choice C) may help in preventing future lesions, but it is not the primary consideration in managing existing lesions. Root canal therapy (choice D) may be necessary if the lesions have caused irreversible damage to the tooth's nerve, but it is not the first-line treatment for abfraction lesions. Overall, occlusal adjustment is the most important factor in managing a patient with multiple deep abfraction lesions.